Claim Status Messages on Blue e
Blue Cross and Blue Shield of North Carolina (BCBSNC) would like to clarify the difference between the some of the various claim status messages you may see on Blue eSM.
The “Process Date” is the last date a course of action was taken on a claim as it goes through our processing system. This date can change multiple times until the claim is finalized. Providers should not be concerned if the process date changes on a pended claim.
A claim in a pended status will not show a payment date. Once the claim cycle is complete, and a payment or denial is issued, the “Payment Date” will display on the final claim.
The “Amount Paid” on a pended claim is the estimated amount the claim is likely to pay unless changes occur before the payment cycle is completed. The “Amount Paid” can potentially change by the time the claim is finalized, especially for a Federal Employee Program claim.
It is customary for certain information to change throughout the life cycle of a claim. Therefore, the “Process Date” and “Amount Paid” may change periodically on Blue e claim status until the claim is finalized.
If you have any questions, please call the Provider Blue LineSM at 1.800.214.4844.